| NPI | 1679505127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY MACNEILL Office Manager 530-872-7579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-07-21 |